高原低氧性肺动脉高压并发重度子痫前期1例

High-altitude hypoxic pulmonary hypertension complicated with severe preeclampsia:Report in one case

目的:探讨高原低氧性肺动脉高压(HAPH)患者妊娠期间病理改变、临床特征及治疗方案。方法:回顾分析马鞍山市妇幼保健院1例孕晚期HAPH、严重低氧血症、高原性心脏病,同时并发重度子痫前期、胎儿宫内生长受限患者的诊治经过,并复习相关文献资料。结果:患者剖宫产终止妊娠后并发产后出血,经救治后最终母儿结局良好。结论:平原地区遇到HAPH合并妊娠临床中非常罕见,产科医生需提高对交叉学科知识的了解。

Objective:To investigate the pathological changes, clinical characteristics and treatment plan in patients during pregnancy complicated with high-altitude pulmonary hypertension.Methods:Retrospective analysis was performed in one case of late pregnancy complicated with moderate high-altitude pulmonary hypertension, severe hypoxemia, high altitude heart disease, serious preeclampsia and intrauterine growth restriction of the fetus treated in our hospital, and related literatures were reviewed.Results:After termination of pregnancy by cesarean section, the patient was complicated by postpartum bleeding, yet the mother and the fetus were saved.Conclusion:Plateau pulmonary hypertension combined with pregnancy is very rare in plain areas, obstetricians need to improve their understanding of interdisciplinary knowledge.